Organization
PHILADELPHIA VA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0339
Entity
Organization
Contact information
Practice address
214 NORTH 4TH ST., 2ND FLOOR, PHILADELPHIA, PA 19106
(215) 923-1163
(215) 923-4032
Mailing address
214 NORTH 4TH ST., 2ND FLOOR, PHILADELPHIA, PA 19106
(215) 923-1163
(215) 923-4032
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
08/22/2020
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